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RE: OT: Corona virus - 4/13/2020 1:35:42 AM   
Sammy5IsAlive

 

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quote:

ORIGINAL: Canoerebel

Right, but most people do go. They go if they have a broken toe or a high fever or gunshot wound or a laceration. I see no reason the great majority wouldn't go if having serious coronavirus symptoms. Cap Mandrake and others are more likely to know for certain, but that's my experience here in Georgia and vicinity and anecdotally around the country.



That's the thing though - I'd suggest that your local experiences and the wider experiences via anecdote (given that my understanding is that you avoid the media I assume that this anecdotal evidence comes from your own acquaintances elsewhere in the US) do not equate to the experiences of (leaving race aside for the time being) impoverished inner city communities in New York - or indeed in the other big US cities that are potentially at risk of big outbreaks moving forward.

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Post #: 4471
RE: OT: Corona virus - 4/13/2020 1:42:11 AM   
Canoerebel


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Read my previous post at the end of the last page. Projections don't call for big outbreaks elsewhere, moving forward.

I have a grave mistrust of the media, though I'm plugged in a lot due to my business. I have my finger on the pulse of Georgia, the 8th largest state in the US, due to my business and my interests. To an extent that bleeds over to adjacent regions, which are geographically near and where I have family and have lived. And I have many professional ties to the medical community, due to my legal background and friendships. I live in the medical center of northwest Georgia. That's not to say I'm an expert; but rather that I'm probably considerably more knowledgeable that the average citizen. But Cap Mandrake and others can provide far more insight than I can.

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Post #: 4472
RE: OT: Corona virus - 4/13/2020 1:48:11 AM   
Canoerebel


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Reading the carefully articulated thoughts contributed by folks here gives a distinct impression that some are relying on the media for a sense of what's going on in the US. That's understandable but it's leading to grave misperceptions. The raw data and the projections by apparently reputable organizations seem to paint a much different picture. As noted a few days back, I'm thankful this forum worked to create a picture of what's going on. We got it righter sooner than the media. Sometimes dramatically so.

< Message edited by Canoerebel -- 4/13/2020 1:56:20 AM >

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Post #: 4473
RE: OT: Corona virus - 4/13/2020 1:49:28 AM   
witpqs


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quote:

ORIGINAL: Cap Mandrake

The "Theory of Everything" will have to explain why I put the lint trap in backwards EVERY time when I should get it right half the time. And what happens to the missing socks? I am suspicious there is an undiscovered particle called the "anti-sock"

In alternate universe somewhere far, far away... you are married to Frau Blucher.

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Post #: 4474
RE: OT: Corona virus - 4/13/2020 1:50:20 AM   
CaptBeefheart


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This may be an unpopular viewpoint, but I think states, cities and counties around the U.S. (and probably other countries) seriously need to look at easing business closures and travel restrictions. I've been in touch with a number of friends and relatives in the U.S. and the governments of certain jurisdictions are doing some very arbitrary and counterproductive things. The leaders look like petty tyrants.

The question should be: "Is the local medical establishment handling new cases, is there a surplus of ICU capacity?" If the answer is "yes," then time to ease off. Civil disobedience is going to get more and more prevalent and respect for government will likewise continue to decline.

More good news in Korea: New cases at 25 yesterday. People are very much out and about. People are no longer working from home. Schools are still closed, but as I mentioned private institutes are back in action. My daughter started a ballet class on Saturday. I took the family to two great restaurants over the weekend. There is no second wave.

Cheers,
CB

_____________________________

Beer, because barley makes lousy bread.

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Post #: 4475
RE: OT: Corona virus - 4/13/2020 1:57:28 AM   
Canoerebel


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Capt. Beefheart, that's probably where we're headed. That approach was discussed here, at length, two days ago. Half the country will be in favor, half will oppose. So it'll probably come down to leadership.

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Post #: 4476
RE: OT: Corona virus - 4/13/2020 1:59:33 AM   
Sammy5IsAlive

 

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quote:

ORIGINAL: Canoerebel

Read my previous post at the end of the last page. Projections don't call for big outbreaks elsewhere, moving forward.

I have a grave mistrust of the media, though I'm plugged in a lot due to my business. I have my finger on the pulse of Georgia, the 8th largest state in the US, due to my business and my interests. To an extent that bleeds over to adjacent regions, which are geographically near and where I have family and have lived. And I have many professional ties to the medical community, due to my legal background and friendships. I live in the medical center of northwest Georgia. That's not to say I'm an expert; but rather that I'm probably considerably more knowledgeable that the average citizen. But Cap Mandrake and others can provide far more insight than I can.


I think the important thing to keep in mind with the Washington projections is that (as far as I understand) they are single curve projections running to August based on the imposition of extreme lockdown measures.

What they don't predict in any way is what happens once those lockdown measures are lifted.

(in reply to Canoerebel)
Post #: 4477
RE: OT: Corona virus - 4/13/2020 2:01:56 AM   
Canoerebel


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Right. That's where we have to use our best judgment, as discussed at length here, two days ago.

Thus far, the U. Wash. projections have been very good. When they've missed it's nearly always been by being too pessimistic, resulting in several recalculations that reduced mortality projections.

Most of the earliest projections by other sources that got it so very wrong assumed social distancing and countermeasures. The U. Wash. site has been consistently more accurate and relied upon widely, as best I can tell, including Dr. Fauci and the media.

< Message edited by Canoerebel -- 4/13/2020 2:11:53 AM >

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Post #: 4478
RE: OT: Corona virus - 4/13/2020 2:17:34 AM   
Sammy5IsAlive

 

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quote:

ORIGINAL: Canoerebel

Right. That's where we have to use our best judgment, as discussed at length here, two days ago.

Thus far, the U. Wash. projections have been very good. When they've missed it's nearly always been by being too pessimistic, resulting in regular recalculations.

Most of the earliest projections by other sources that got it so very wrong assumed social distancing and countermeasures. The U. Washington site has been consistently more accurate and relied upon nearly universally, as best I can tell, including Dr. Fauci and the media.


I guess the thing with any projection of this nature is where you put the end point.

My endpoint is January 2022. Once we're there I'll look back and see how things have stacked up. Where do you see your own endpoint being?

< Message edited by Sammy5IsAlive -- 4/13/2020 2:18:35 AM >

(in reply to Canoerebel)
Post #: 4479
RE: OT: Corona virus - 4/13/2020 2:20:47 AM   
Canoerebel


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I'm not sure what you mean, but hindsight is always better than foresight of course.

If you mean, "What do we do next?" That was discussed in here at length a few days back, with lots of different viewpoints. It was an interesting discussion. Capt. Beefheart's post just above kind of encapsulizes the train of thought that you have to move forward at some point. As I posted in here about a week ago, to me that comes when mortality drops to about 0 per day and the medical communities have the capacity to handle flair ups. Ease restrictions, protect the most vulnerable, and move forward.

(in reply to Sammy5IsAlive)
Post #: 4480
RE: OT: Corona virus - 4/13/2020 2:30:09 AM   
Canoerebel


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This is an apt description of where we go from here, IMO.

The source is The Blade, which I'm not familiar with: https://www.thehour.com/news/article/Reopening-U-S-economy-by-May-1-may-be-15195921.php






Attachment (2)

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Post #: 4481
RE: OT: Corona virus - 4/13/2020 2:34:10 AM   
RangerJoe


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If you read the link about Dr Fauci that I posted, it does have a part about what to do next. How about a universal influenza vaccine and a universal corona virus vaccine. Both are doable. Another article that I read, but I did not remember which one it was, indicated that one fourth of the people in the world have been exposed to TB. That vaccine can also give some immunity against other diseases.

That, and having strategic stockpiles of necessary equipment and medicines, including releasing some before it gets too old and replacing it.

_____________________________

Seek peace but keep your gun handy.

I'm not a complete idiot, some parts are missing!

“Illegitemus non carborundum est (“Don’t let the bastards grind you down”).”
― Julia Child


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Post #: 4482
RE: OT: Corona virus - 4/13/2020 2:53:37 AM   
Sammy5IsAlive

 

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quote:

ORIGINAL: Canoerebel

I'm not sure what you mean, but hindsight is always better than foresight of course.

If you mean, "What do we do next?" That was discussed in here at length a few days back, with lots of different viewpoints. It was an interesting discussion. Capt. Beefheart's post just above kind of encapsulizes the train of thought that you have to move forward at some point. As I posted in here about a week ago, to me that comes when mortality drops to about 0 per day and the medical communities have the capacity to handle flair ups. Ease restrictions, protect the most vulnerable, and move forward.


OK I'll put it another way. This virus (in its current form) will go one of three ways. It will either be eradicated (like smallpox), controlled in the 'first world' but not elsewhere due to health inequalities (rubella/HIV) or become endemic worldwide (influenza). Whichever direction you choose there will be a rough transition point where it goes from its current point - a worldwide epidemic - to its 'stable point' in the general spectrum of disease. I think it will have reached that point by late 2021/early 2022. I am interested in projections like the U. Washington are putting out in terms of how we are managing this potentially first wave of cases. I don't see any utility from their models in terms of where we will be in 2021/22.

I think that is an entirely different question dependant on the actual infection rates compared to reported cases. If half the US/Europe has already been infected then we are home and dry almost already. If it is 25% then we still have a way to go but can probably get by going back to normal with additional protections to the most vulnerable. If it is 10% then we have a very long and hard road to travel - although fundamentally I am completely optimistic that even in that worst case scenario we will come through the other end in good shape compared to the very worst worldwide pandemics (Black Plague/Spanish Flu) and in a more localised sense compared to the worst of man-made atrocities in the 20th century.

(in reply to Canoerebel)
Post #: 4483
RE: OT: Corona virus - 4/13/2020 3:03:42 AM   
Canoerebel


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Nobody's going to lock down for two years, of course. That's why accurate projections are critical to understanding where we are and where we could be heading. That's our base line. Using that and other information we determine how to proceed at the lowest risk possible. There will be risk and there will be deaths but we don't really have a choice.

(in reply to Sammy5IsAlive)
Post #: 4484
RE: OT: Corona virus - 4/13/2020 8:42:03 AM   
Uncivil Engineer

 

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quote:

ORIGINAL: Canoerebel

I'm not sure what you mean, but hindsight is always better than foresight of course.

If you mean, "What do we do next?" That was discussed in here at length a few days back, with lots of different viewpoints. It was an interesting discussion. Capt. Beefheart's post just above kind of encapsulizes the train of thought that you have to move forward at some point. As I posted in here about a week ago, to me that comes when mortality drops to about 0 per day and the medical communities have the capacity to handle flair ups. Ease restrictions, protect the most vulnerable, and move forward.


Zero deaths per day is ridiculous, especially when all the evidence points to calling any death due to COVID-19, no matter the pre-existing condition(s). It seems all the yelling and screaming about more ventilators was just that - there was no shortage. What's needed is replacement crews for the overworked medical folk - doctors, nurses, EMTs, etc.

(in reply to Canoerebel)
Post #: 4485
RE: OT: Corona virus - 4/13/2020 8:50:56 AM   
CaptBeefheart


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Mayo Clinic just laid off a bunch of people. Whether those people find work elsewhere will tell us if there's a medical personnel shortage in the U.S.

Medical tourism has also been hit hard here. My wife's hospital has lost a fair amount of revenue that used to come from Russians and Arabs.

Of the 25 new cases in Korea yesterday, 16 came from the airport. Most or all of those are returning Koreans. That's one way to keep the numbers up.

Cheers,
CB

_____________________________

Beer, because barley makes lousy bread.

(in reply to Uncivil Engineer)
Post #: 4486
RE: OT: Corona virus - 4/13/2020 12:12:55 PM   
Canoerebel


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Lots of different ideas as to when and how but it's going to happen.

This article presents some of Governor Cuomo's thoughts, which cover many of the same ideas chewed over in here the past week.

Link to story: https://www.msn.com/en-us/news/politics/cuomo-says-he-wants-new-york-to-reopen-as-soon-as-possible/ar-BB12x6uk?ocid=spartanntp




Attachment (1)

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Post #: 4487
RE: OT: Corona virus - 4/13/2020 12:23:08 PM   
RangerJoe


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quote:

ORIGINAL: CaptBeefheart

Mayo Clinic just laid off a bunch of people. Whether those people find work elsewhere will tell us if there's a medical personnel shortage in the U.S.

Medical tourism has also been hit hard here. My wife's hospital has lost a fair amount of revenue that used to come from Russians and Arabs.

Of the 25 new cases in Korea yesterday, 16 came from the airport. Most or all of those are returning Koreans. That's one way to keep the numbers up.

Cheers,
CB


I think that the Mayo Clinic and other health care systems that laid people of because of the postponement of elective surgeries.

_____________________________

Seek peace but keep your gun handy.

I'm not a complete idiot, some parts are missing!

“Illegitemus non carborundum est (“Don’t let the bastards grind you down”).”
― Julia Child


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Post #: 4488
RE: OT: Corona virus - 4/13/2020 12:24:13 PM   
warspite1


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Some relaxation in Spain. Some non-essential workers are being allowed back to work. It will be very interesting to see what, if any, effect there is going to be. I believe some Italian shops are to open too.

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England expects that every man will do his duty. Horatio Nelson October 1805



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Post #: 4489
RE: OT: Corona virus - 4/13/2020 12:28:01 PM   
Canoerebel


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Spain reported 280 deaths today. The drop there has been remarkably sharp. Lowest mortality since March 20. Higher than projected by U. Wash. but well within the margin of error.

For some reason, Spain's mortality/day is dropping relatively quickly compared to Italy, where the struggle has been really tough.

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Post #: 4490
RE: OT: Corona virus - 4/13/2020 12:54:38 PM   
warspite1


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quote:

ORIGINAL: Canoerebel

Spain reported 280 deaths today. The drop there has been remarkably sharp. Lowest mortality since March 20. Higher than projected by U. Wash. but well within the margin of error.

For some reason, Spain's mortality/day is dropping relatively quickly compared to Italy, where the struggle has been really tough.
warspite1

Indeed. No doubt the analysis and theories about why this should be so will be done in due course - but in the meantime all eyes are on any country that is relaxing their lockdown.....


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England expects that every man will do his duty. Horatio Nelson October 1805



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Post #: 4491
RE: OT: Corona virus - 4/13/2020 1:02:03 PM   
Canoerebel


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Yeah, I know that Austria and Denmark decided about nine days ago to gradually ease restrictions, beginning this week (IIRC). We referred to them here as "pathfinders" - dropping behind enemy lines and setting beacons that we can follow.

It was mentioned that other countries would also begin easing some measures soon, including Italy.

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Post #: 4492
RE: OT: Corona virus - 4/13/2020 1:09:09 PM   
witpqs


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Analysis of this corona virus might be getting even more difficult.

China stifles coronavirus research in apparent bid to control narrative, analysts say

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Post #: 4493
RE: OT: Corona virus - 4/13/2020 1:21:48 PM   
Ian R

 

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Late daily report:

quote:

As at 3:00pm on 13 April 2020, there have been 6,359 confirmed cases of COVID-19 in Australia. There have been 46 new cases since 3:00pm yesterday.


It is expected, however, that with the end of the easter lockdown, testing numbers, and new cases will increase.

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Post #: 4494
RE: OT: Corona virus - 4/13/2020 1:24:44 PM   
Lokasenna


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From: Iowan in MD/DC
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quote:

ORIGINAL: RangerJoe

Hydroxychloroquine trial for COVID-19 begins amid political debate
Researchers aim to get clinical data on unproven treatments Trump has promoted.
4/10/2020

https://arstechnica.com/science/2020/04/malaria-drug-touted-by-trump-to-treat-covid-19-begins-nih-clinical-trial/

It seems that I am getting a lot of:

"502 Bad Gateway
nginx/1.16.1"

But only on the matrixgames.com/forums.


Hydroxychloroquine is not effective for treating coronavirus, according to small trial

https://medicalxpress.com/news/2020-04-hydroxychloroquine-effective-coronavirus-small-trial.html

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Post #: 4495
RE: OT: Corona virus - 4/13/2020 1:27:01 PM   
Lokasenna


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quote:

ORIGINAL: Canoerebel

Sammy, given the level of scrutiny in place in the US, anyone who dies under any circumstances is likely being tested and counted. That is true whether they die in a hospital or at home or in a hotel. Coroners and other officials strive to assign an accurate cause of death in the US. I don't think that's changed. In fact, it's probably more likely given the spotlight on the coronavirus.


I don't share your confidence in this conjecture.

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Post #: 4496
RE: OT: Corona virus - 4/13/2020 1:32:03 PM   
Lokasenna


Posts: 9297
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From: Iowan in MD/DC
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quote:

ORIGINAL: Canoerebel

Reading the carefully articulated thoughts contributed by folks here gives a distinct impression that some are relying on the media for a sense of what's going on in the US. That's understandable but it's leading to grave misperceptions. The raw data and the projections by apparently reputable organizations seem to paint a much different picture. As noted a few days back, I'm thankful this forum worked to create a picture of what's going on. We got it righter sooner than the media. Sometimes dramatically so.


Do they, though?

In your post prior to this you mention that projections don't call for big outbreaks moving forward - those projections assume that social distancing measures remain in place through August. Without the distancing, case numbers will pop back up. I don't know what news stories other folks are reading, but the ones I've been reading have been very clear on those two points.

There is also further concern that areas that have been slower to get infections and/or slower to implement distancing measures will act as a reservoir for the virus and result in further, unnecessary hot spots of infection or reemergence of hot spots in areas where it had previously been tamped down.

(in reply to Canoerebel)
Post #: 4497
RE: OT: Corona virus - 4/13/2020 1:32:51 PM   
mind_messing

 

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quote:

ORIGINAL: Canoerebel

Right, but most people do go. They go if they have a broken toe or a high fever or gunshot wound or a laceration. I see no reason the great majority wouldn't go if having serious coronavirus symptoms. Cap Mandrake and others are more likely to know for certain, but that's my experience here in Georgia and vicinity and anecdotally around the country.

Regarding post-mortem testing there has been one case that I know of. More importantly, as noted above coroners and others have a duty to assign an accurate cause of death. If in NYC emergency conditions prevail so that testing can't be done yet it will be done later - from the bodies or preserved specimens, I'd guess. Most places are not that overwhelmed, however, so likely have the capacity to handle things as they occur. It wouldn't be surprising if they're temporarily having to let standards slide in NYC but it would be a surprise in most other places - North Carolina, for instance.


As stated previously, technically correct. However, your experience in Georgia and anecdotal evidence does not seem to be representative.

https://news.gallup.com/poll/269138/americans-delaying-medical-treatment-due-cost.aspx


quote:

ORIGINAL: Lokasenna


quote:

ORIGINAL: Canoerebel

Sammy, given the level of scrutiny in place in the US, anyone who dies under any circumstances is likely being tested and counted. That is true whether they die in a hospital or at home or in a hotel. Coroners and other officials strive to assign an accurate cause of death in the US. I don't think that's changed. In fact, it's probably more likely given the spotlight on the coronavirus.


I don't share your confidence in this conjecture.


Agreed. Accurate determination of cause of death is not as simple as would appear, and there's often a considerable time lag in order to reconcile the medical and government records.

(in reply to Canoerebel)
Post #: 4498
RE: OT: Corona virus - 4/13/2020 1:34:39 PM   
Lokasenna


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quote:

ORIGINAL: CaptBeefheart

Mayo Clinic just laid off a bunch of people. Whether those people find work elsewhere will tell us if there's a medical personnel shortage in the U.S.



Those people would almost certainly remain near where they are currently living, not flow throughout the entire US.

(in reply to CaptBeefheart)
Post #: 4499
RE: OT: Corona virus - 4/13/2020 1:36:40 PM   
Lokasenna


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From: Iowan in MD/DC
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quote:

ORIGINAL: mind_messing

quote:

ORIGINAL: Lokasenna


quote:

ORIGINAL: Canoerebel

Sammy, given the level of scrutiny in place in the US, anyone who dies under any circumstances is likely being tested and counted. That is true whether they die in a hospital or at home or in a hotel. Coroners and other officials strive to assign an accurate cause of death in the US. I don't think that's changed. In fact, it's probably more likely given the spotlight on the coronavirus.


I don't share your confidence in this conjecture.


Agreed. Accurate determination of cause of death is not as simple as would appear, and there's often a considerable time lag in order to reconcile the medical and government records.


I don't even mean accuracy in determining the cause of death.

I mean bothering in the first place.

(in reply to mind_messing)
Post #: 4500
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